What you have is a MultinormalDistribution. The quadratic and linear forms in the exponential can be rewritten in terms of $\frac12(\vec{x}-\vec{\mu})^\top\Sigma^{-1}(\vec{x}-\vec{\mu})$ where $\vec{\mu}$ represents the mean and $\Sigma$ the covariance matrix, see the documentation.
With this, you can do integrals of the type given in the question by invoking Expectation, as in this example:
Expectation[
x^2 y^3, {x, y} \[Distributed]
MultinormalDistribution[{μ1, μ2},
{{σ1^2, ρ σ1 σ2},
{ρ σ1 σ2, σ2^2}}]]
The result is:
$\text{$\mu $1}^2 \text{$\mu $2}^3+\text{$\mu $2}^3 \text{$\sigma $1}^2+6 \text{$\mu $1} \text{$\mu $2}^2 \rho \text{$\sigma $1} \text{$\sigma
$2}+3 \text{$\mu $1}^2 \text{$\mu $2} \text{$\sigma $2}^2+3 \text{$\mu $2} \text{$\sigma $1}^2 \text{$\sigma $2}^2+6 \text{$\mu $2} \rho ^2 \text{$\sigma
$1}^2 \text{$\sigma $2}^2+6 \text{$\mu $1} \rho \text{$\sigma $1} \text{$\sigma $2}^3$
Edit
Regarding the normalization prefactor mentioned in Sjoerd's comment, you can use the fact that for any dimension $n$
$\iint\exp(-\frac{1}{2}\vec{z}^\top \Sigma^{-1}\vec{z})\mathrm dz^n = (2\pi)^{n/2}\sqrt{\det(\Sigma)}$
Hopefully these hints will be enough for you to fill in the missing linear-algebra steps to make the connection to your given matrix matrix.
Edit 2
In response to the comment by chris, for polynomials as prefactors one can also use the slightly simpler but equivalent form
Moment[
MultinormalDistribution[{μ1, μ2},
{{σ1^2, ρ σ1 σ2},
{ρ σ1 σ2, σ2^2}}],
{2, 3}]
This is the same example as above, with the powers of x and y appearing in the second argument. See the documentation for Moment.
The difference between Moment and Expectation is that Moment is restricted to the expectation values of polynomials.
Edit 3
Before going on with the symbolic manipulations that I assumed are desired here, let me also point out that you can do your integrals pretty straightforwardly if your integrand contains no symbolic parameters. Then you just need to do a numerical integral by replacing Integrate with NIntegrate.
But now back to the symbolic part:
A follow-up question arose how to complete the square in the exponential to get to the standard form of the multinormal distribution, starting from a form like this:
$$\exp(\,\vec{x}^\top A\vec{x}+\vec{v}^\top\vec{x})$$
The matrix $A$ in the exponential is symmetric, $A^\top=A$, and positive definite. Therefore $A$ is invertible, and the inverse is symmetric,
$$\left(A^{-1}\right)^\top=A^{-1}$$
With this, you can verify
$$\left(\vec{x}+\frac{1}{2}A^{-1}\vec{v}\right)^\top A\left(\vec{x}+\frac{1}{2}A^{-1}\vec{v}\right)=\vec{x}^\top A\vec{x}+\vec{v}^\top\vec{x}+\frac{1}{4}\vec{v}^\top A^{-1}\vec{v} $$
by directly multiplying out the factors on the left. Therefore,
$$\exp(\vec{x}^\top A\vec{x}+\vec{v}^\top \vec{x})=\exp(\left(\vec{x}-\vec{\mu}\right)^\top A\left(\vec{x}-\vec{\mu}\right)-\frac{1}{4}\vec{v}^\top A^{-1}\vec{v})$$
where
$$\vec{\mu}\equiv-\frac{1}{2}A^{-1}\vec{v} $$
Compare this to the standard form of the Gaussian integral, and you see that in the notation of Mathematica's documentation
$$A \equiv \Sigma^{-1}$$
and our integral differs from the standard Gaussian one by a factor
$$\exp(-\frac{1}{4}\vec{v}^\top A^{-1}\vec{v})$$
Now we have all the pieces that are needed, except that you still have to calculate the inverse matrix $A^{-1} \equiv \Sigma$, using
Inverse[mat]
if I go back to your original notation where the matrix $A$ is called mat.
SparseArray[]. – J. M.♦ Jun 16 '12 at 1:49